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Voluntary Disclosure Program Application

  1. This form is available for businesses to use under the City’s voluntary disclosure program. The form is not mandatory. A letter may be submitted in place of this form. Business should also include the following information:

    • Schedules (by year) showing gross income generated in Everett by classification along with any deductions; and, • Taxpayer Authorized Representative Declaration if the business is represented by a third party

  2. Business Name

  3. Physical Address

  4. Mailing Address

  5. Contact Information

  6. I certify that all of the above information is true to the best of my knowledge

    Please enter the information below to certify and submit your application for voluntary disclosure.

  7. Leave This Blank:

  8. This field is not part of the form submission.